“…24 Regardless of the exact scenario, the fact that sympathomimetics like dextroamphetamine reduce MS symptoms while parasympathetic blockers such as cholinergic (muscarinic) antagonists attenuate MS-induced vomiting clearly supports the role of parasympathetic dominance in MS. 103 The role of the vestibular system in autonomic control is also complex and remains controversial in some areas. On the basis of a wide range of evidence, including effects on blood pressure 51,111 and sympathetic muscle activity, 14,44,51 Yates et al 105 concluded that the otoliths have a primarily sympathetic influence on cardiovascular output, which makes sense in that changes in head position relative to gravity are sensed primarily by the otolith organs and they, in turn, send a signal to boost cardiac output before blood pressure drops are detected by the baroreceptors. 105 The canals do not appear to mediate the vestibulo-sympathetic response 82 and, if anything, may exert more of a parasympathetic influence.…”